Individual
DENIA LAZO SANTALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS / CBHCM-S
Contact information
Practice address
3271 NW 7TH ST STE 203, MIAMI, FL 33125-4141
(786) 220-6902
(866) 726-0526
Mailing address
15295 SW 107TH LN APT 1016, MIAMI, FL 33196-4559
(786) 227-0804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275968513
—
FL
Enumeration date
09/05/2013
Last updated
03/04/2019
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